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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810189
Report Date: 11/01/2022
Date Signed: 11/01/2022 11:52:43 AM

Document Has Been Signed on 11/01/2022 11:52 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:ESCUELITA HERNANDEZ LITTLE SCHOOLFACILITY NUMBER:
153810189
ADMINISTRATOR:HERNANDEZ, RAQUELFACILITY TYPE:
830
ADDRESS:909 CASTRO LNTELEPHONE:
(661) 422-5437
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 9TOTAL ENROLLED CHILDREN: 9CENSUS: 3DATE:
11/01/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Raquel HernandezTIME COMPLETED:
12:30 PM
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An unannounced case management visit conducted today by Licensing Program Analyst (LPA) Gloria Reyes. LPA met with Site Supervisor, Raquel Hernandez. LPA toured the facility inside and outside. The purpose of today's visit is to conduct a 90 Day follow-up on initial change of ownership visit conducted on 09/12/2022. This facility operates year-round, Monday through Friday from 7:00 AM to 5:45 PM. Infants will be taken directly to the Infant Classroom where staff will conduct temperature checks.

Furniture, equipment and materials are sufficient, age appropriate, in good repair and toxic free. The infant playground equipment and outdoor activity space is maintained and in good condition, free of hazards with adequate grassy area and shade. There are two portable sinks for handwashing; (1) portable sink is located next to the infant changing table. There are no toilets in the infant classroom. Instead, the facility will provide (1) potty chair for every five infants being potty trained. Rooms and floors are safe and clean. Food preparation area is clean and free of rodent and other vermin. Parents who provide baby formula and pre-made bottles for the younger infants will be stored in refrigerator in the infant classroom. Bottles will be prepped in kitchen area of infant classroom. When the infant is older and is not eating baby food, the facility will provide breakfast, lunch, and an afternoon snack. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. The facility is providing bottled water and staff will fill the children’s individual snippy cups to be used both inside and outside. There are (4) cribs. Needs and Services, Infant sleeping plans and napping logs are maintained. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm (see next page)
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Gloria Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: ESCUELITA HERNANDEZ LITTLE SCHOOL
FACILITY NUMBER: 153810189
VISIT DATE: 11/01/2022
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Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited during today's visit.

An exit interview conducted with Site Supervisor, Raquel Hernandez and a copy of this report was provided and discussed. A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 day.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Gloria Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2